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  • A. 2020 Gallery of Athletes

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    Sean Gabriel Lacambra
    10 views3 pages
    The document outlines the requirements and documentation needed for coaches, assistant coaches, chaperones, and athletes participating in sports events in Region III - Central Luzon. It lists the required certificates, medical forms, identification documents, consent forms, and other records for each participant type. These requirements apply to school sports competitions from lower level meets up to the Palarong Pambansa national games.

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    1. a. 2020 Gallery of Athletes

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    The document outlines the requirements and documentation needed for coaches, assistant coaches, chaperones, and athletes participating in sports events in Region III - Central Luzon. It lists the required certificates, medical forms, identification documents, consent forms, and other records for each participant type. These requirements apply to school sports competitions from lower level meets up to the Palarong Pambansa national games.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views3 pages

    A. 2020 Gallery of Athletes

    Uploaded by

    Sean Gabriel Lacambra
    The document outlines the requirements and documentation needed for coaches, assistant coaches, chaperones, and athletes participating in sports events in Region III - Central Luzon. It lists the required certificates, medical forms, identification documents, consent forms, and other records for each participant type. These requirements apply to school sports competitions from lower level meets up to the Palarong Pambansa national games.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Revised as of September 26, 2019 III - CENTRAL LUZON

    REGION

    DIVISION

    EVENT

    COACH / ASSISTANT COACH RECORD


    A. (CERTIFICATE OF TRAINING, RELEVANT COACHING EXPERIENCE )
    B. APPOINTMENT (PUBLIC) / CONTRACT OF SERVICE (PRIVATE)
    C. OMNIBUS SWORN STATEMENT
    Coach D. MEDICAL CERTIFICATE Assistant Coach

    NAME
    SCHOOL

    A. CERTIFICATE OF COMMITMENT
    B. MEDICAL CERTIFICATE

    Chaperon

    NAME
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA / NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL
    NOTE:
    PLEASE USE A4 SIZE COPY PAPER

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


    Revised as of September 26, 2019 I I I - CENTRAL LUZON
    REGION

    DIVISION

    EVENT

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete athlete
    F. MEDICAL CERTIFICATE
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete athlete
    F. MEDICAL CERTIFICATE
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL
    NOTE:
    PLEASE USE A4 SIZE COPY PAPER

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)


    Revised as of September 26, 2019 III - CENTRAL LUZON
    REGION

    DIVISION

    EVENT

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    A. AR (ATHLETE'S RECORD)
    B. ORIGINAL COPY OF PSA/NSO
    C. School Form 10
    D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
    E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
    athlete F. MEDICAL CERTIFICATE
    athlete
    G. DENTAL CERTIFICATE
    H. DISABILITY ASSESSMENT (for PARAGAMES Only)
    INTERVIEWED

    NAME OF ATHLETE
    LRN
    DATE OF BIRTH
    SCHOOL

    NOTE:
    PLEASE USE A4 SIZE COPY PAPER

    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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